NR509 Advanced Physical Assessment

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Debriefing Session

Guidelines and Grading Rubric

Purpose

Debriefing is a critical conversation to reframe the context of a situation and to clarify perspectives and assumptions, both subjectively and objectively. Debriefing yields better retention, deeper learning, and increases the likelihood of the transfer of new or reinforced knowledge, skills and abilities to the clinical or broader healthcare setting. During the debriefing process, students reflect upon their simulation experience and revisit their assessments, interventions, and observations. The faculty-facilitator coaches the students to review the patient data and reflect upon the interventions performed in response to the clinical situation presented during the simulation experience.

Course Outcomes

Debriefing session activities are guided by the following Course Outcomes (COs):

1. Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (PO 1, 2)

2. Differentiate normal and abnormal health history and physical examination findings. (PO 1, 2)

3. Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (PO 1, 2)

The purposes of the debriefing activity are to: (a) reframe the context of a situation and to clarify perspectives and assumptions, (b) foster high participant engagement through the use of interpersonal and communication skills, (c) explore and analyze actions and thought processes as well as emotional responses to the physical assessment simulation, and (d) facilitate transfer of knowledge gained from simulation experiences to actual clinical practice.

Due Date

The date and time for these synchronous activities will be posted in the course announcements by the course instructor. There is not a late assignment policy for debriefing sessions. Students who do not satisfy the debriefing session guidelines as outlined below for any given week will complete the NR509 Alternative Writing Assignment (See the NR509 Alternative Writing Assignment Guidelines and Grading Rubric); otherwise, a grade of zero (0) will be recorded in the gradebook

Total Points Possible: 25 Points

Preparing for the Activity and Guidelines

1. Complete all physical assessment assignments and concept labs assigned for the week

2. Answer all reflections questions following each physical assessment assignment in Shadow Health

3. Save or print a copy of your reflection question responses to refer to during the debriefing session

4. Register to attend one debriefing session per week using the registration links posted in the course announcements by the course instructor

5. Arrive to the scheduled WebEx meeting on-time and appropriately connect to the WebEx audio system

6. During each debriefing session, every student is expected to:

a. Express ideas and information in a clear and concise manner in order to facilitate an open exchange of ideas and information with peers and faculty

b. Be professional and respectful and listen actively to what others are saying

c. Demonstrate application of knowledge with regard to the evidenced-based principles of advanced physical assessment, patient management and safety, and transference of knowledge and understanding to the actual clinical environment

Category Points % Description
Knowledge Application and Transfer 10 40% Student demonstrates application of course knowledge consistent with the principles of advanced physical assessment. Participant generalizes knowledge gained from simulation and transfers understanding to discussion of clinical practice and/or to patient safety.
Interpersonal and Communication Skills 10 40% Discusses appropriate interpersonal and communication skills as evidenced by the following behaviors during the debriefing session: presents and expresses ideas and information clearly and concisely; listens actively to what others are saying to achieve understanding; and shares information with others and facilitates the open exchange of ideas and information.
Analytical Abilities 5 20% Discusses appropriate clinical reasoning and judgment as evidenced by the following behaviors during the debriefing session: identifies rationale for treatment decisions and supports assessment and treatment approaches with evidence-based guidelines.
Total   100 A quality assignment will meet or exceed all of the above requirements.

Grading Rubric

Category Satisfactory Unsatisfactory
10 POINTS 0 POINTS
Knowledge Application and Transfer Participant generalizes knowledge gained from simulation and transfers understanding to discussion of clinical practice and/or to patient safety. Unable to generalize or transfer knowledge and understanding gained from simulation to discussion of clinical practice and/or to patient safety.
10 POINTS 0 POINTS
Interpersonal and Communication Skills Presents and expresses ideas and information clearly and concisely; Listens actively to what others are saying to achieve understanding; Shares information with others and facilitates the open exchange of ideas and information. Unable to clearly and concisely express ideas; or does not allow others to express opinions; or does not exchange ideas or information with the group; or is withdrawn from the group.
5 POINTS 0 POINTS
Analytical Abilities Identifies rationale for treatment decisions and supports assessment and treatment approaches with evidence-based guidelines. Unable to identify rationale for treatment decisions, support assessment, or does not approach treatment with evidence-based guidelines.
Total Possible = 25 Points 25 Points 0 Points